HomeMy Public PortalAbout10228 NADINE ST_Building__ R
APPLICATION
FOR COUNTY OF LOS ANGELES
B I LD I N G PERMIT DEPARTMENT ENGINEER
BUILDING AND SAFETY DIVISION
MMM&� BUILD
FOR APPLICANT TO FILL IN ADDRIESS
BUILDING
ADDRESS O LOCALITY
NEAREST
CITY ZIP CROSS ST
O OF BLDGS ASSESSOR
SIZE OF LOT OW ON LOT MAP BOOK PAGE PARCEL
DISTRICT G FIRE �ZEDBY
TRACTVssa( BLOCK 4w, C
TEL
OWNER NO
STATISTICALCLA55IFICAVON SEWER MAP
ADDRUS CLASS NO DWELL UNITS BK PG
CITY t I ZIP USE ZONE NMIA
OP
ARCHIT TEL s� -40409 SPECIAL
ENGINEEQ NO 99 CONDITIONS
ADDRESS TEL ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONTRACTOR r NO BLDG SET CK FROM
LIC FRONTP P LINE OF (STREET)
ADDRESS NO HIGHWA + YARD = TOTAL
SETBACK FROM
HIGHWAY EWID HG
LIC
CITY CLASS
CONSTRUCTION LENDER = }
NAME AND BRANCH O
BLDG SETBACK FROM
ADDRESS CITY SIDE PROP LINE OF (STREET) V
SQ FT NO OF NO OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
SIZE 36o STORIES FAMILIES ONE SIDE PROP LINE H WAY WIDTH O
DESCRIPTION OF WORK A M PATLO NEW + C~.)
S ADD CORNER CUTOFF YES ❑ NO ❑ a
L as N ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ z
REPAIR C3 IN
EUSE
XISTING BLDG is DEMOL [-] IN COASTAL PERMIT ZONE YES ❑ NO ❑
APPLICANT r TEL
(PRINT) NO 3 11
2 -j-,'
BY(SIGNATURE) S O
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM
PENSATION INSURANCE
SIGNATURE OF FINAL /�j 4 BY
PERMITTEE DATE
ADDRESS
TEL z6 PC Fee$ Permit Fee
LVALUAT:IO:N$
NO
Issuance Fee
D D
Total Fee
PLAN CHECK VALIDATION cK M o cA6H � PERMIT VALIDATIO cic mo CASH
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1 5 2,rtAK aU 1 0 3 4 0 0 ,&
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76AG38A CE/803A 6/76
DOLICY NUMBER / 6 3 33 O ft-C (YVIC ,
�1;8A83SA CE 0803 4/70 � y
-! `APPLICATION FOR BUIL DIN PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL t
BU=ING AND SAFETY DIVISION BUILDING J c�
JOHN A LAMBIE COUNTY ENGINEER ADDRESS Q •��
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST /
CROSS ST
ADIST ICT GR TYPE PBUILDR B
ING SS /�C/�o� tk� d CONST
ADDRESS
STATISTICAL CLA SI FICA TION SE ER MAP
LOT NO BLOCK CLASS NO JmTkDWELL UNITS BK PG
TRACT 4_ 4-7 USE ZONE MAP
NO OF BLDGS NO Q
SIZE OF LOT NOW ON LOT SPECIAL
USE OF CONDITIONS
EXISTING BLDG
TEL
OWNER 4 14 J7/..-INO
BLDG SETBACK FROM
ADDRESS r, FRONTPROP LINEOF (STREET)
J TYPE OF EXISTING SETBACK HIGHWAY } YARDS__j TOTAL
CITY HIGHWAY WIDTH FROM C L
ARCHITECT OR TEL
ENGINEER " NO
Qr, ETBA K FROM
ADDRESS SIDEPROP LINEOF (STREET)
TEL TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CONTRACTOR /SO ((,�° NO HIGHWAY WIDTH FROM C L .r
ADDRESS IS � (� NO Z•2- } = V
LIC �j CC
CITY CLASS /�� CORNER CUTOFF YES ❑ NO ❑ _ p
ONSNRUCTION LENDER
AND BRANCH � O A SEE REVERSE SIDE FOR SPECIAL APPROVALS W
,of / // / y
ESS NEW
NO OF NO OF ❑
STORIES FAMILIES
F ADD
CTURE
ALTER ❑
TUROe O Fom REPAIRICA DEMOLTION S / APPROVALS DATEINs CTOR sc rune
PMT MISS FOUNDATION LOCATION A FEES FORMS MATERIALS A Cut—
FRAME FIRE STOPS
HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION BRACING BOLTSSTATE THAT THE ABOVE ISCORRECT AND AGREE TO COMPLY FURNACE LOCATION
ALL ORDINANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS
STRUCTION IC
THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THELATH INT
LABOR CODE 0 STATE OF CALIFORN IN RELATING TO
WORKMEN S PENS ION INSURANCE LATH EXT
SIGNATUR HOUSE NUMBER COR
PERMITT RECT AND POSTED
ADDRESS acZ FINAL Z Z
PLAN CHECK VALIDATION CK MO CASH JOHN F LEWIS PRINCIPAL STRUCT RAL ENGINEER
PERMIT VALIDATION CK M O CASH
f Ar, 9 5 5 29 APR 5 1 D 3 825- Q
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES 1
WM. J. FOX. CHIEF ENGINEER BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN OK.NO. PERMIT NO.
BUILDING 04toOl �'�,r1 �+
ADDRESS oC / ��C �
LOCALITY 7` M `/'!,6 �C/IT RECEIVED/BY CDATE OF APPL. DATE ISSUED
14EA EST
OWNER /'f/�LL/R f ��I//q / ADD EISS 2- 7765) /V� !Gt Q• S
MAIL .�Ii Y E• ,f !//vl�J jJtt LOCALITY �' •I
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LE ���T. TEL. CROSS ST. ✓ f� ( CL C�t> L t
CITYNEAREST
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FIRE Na.OF TYPE-T GROUP ,
ARCHITECTOR �J/J}.�. ! • TEL. �• ZONE PLANSi/
ENGINEER r v iK.r NO.
�... BLDG.
ADDRESS SETBACK LINE U (_•
APPROVEQ_—
CONTRACTOR
TEL '�_ BY '' - f DATE
USJEAPPROVED `
ADDRESS ZONE 71- BY DATE
LEGAL Q JGO CORRECTIONS
DESCRIPTION LOUT NNO. 2 CJ BLOCK
TRACT / C'( Ca Z A14
Ny NO.OF
SIZE OF LOT v I U NOW ON LOTS.
USE OF NO.OFNO.OF
EXISTING BLDG. FAMILIES
, ROOMS `
DESCRIPTION OF WORK
NEW \ ALTERATION ADDITION O
D
REPAIR MOVING DEMOLISH G7
Sq.FT. NO.OF Z
_SIZE ROOMS STORIES D
r
WALL � ROOF
COVERING L I COVERING
USE OF NEW
BUILDING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION IN PECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS /REG_UWL TING BUILDII[�J4 CONE RUCT/1
FRA j,
�I��`�����/,''' /��" • / I RAME: FIRE STOPS.
SIGNATURE OF (1 BRACING.BOLTS
PERMITTEE
LATH, INT.
AUTHORIZED AOT - LATH, EXT.
76A638A-3 7-49 �$ P C.41 PLASTER,INT.
�7AO FEE PLASTER,EXT.
VALUATION 6a' B
FEE Z� /y FINAL
COUNTY OF LAS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 970.1 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1309110032
PHONE (626) 285 0488 EXT
ILEGAL ID I NO OF CONST I BUILDING ADDRESS I
ITR 15862 LT 28 I SQ FT STORIES TYPE 1 10228 NADINE ST I
ISTRUCTURE V B I TEMP CA 917802727 I
1ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET I
18586 026 017 I I THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY Cl
ITENANT (EXIST BLDG USE RESID USE ZONE R 1 (ISSUED ON PROCESSED BY I
(EXIST OCC GRP 109/11/13 SR I
I I I
(OWNER TEL NO IBLDGS NOW ON LAT VALUATION 1F TE F BY CODE
ILIANG KENNY (626) 452 8282 1 400
110228 NADINE ST
ITEMP 917802727 1 FEES PAID IDEtCTJIPTI6N OF WORK uI
IWINDOW REPLACEMENT (RETRO FIT) FOR 5 EXISTING WINDOWS I
IFEE DESCRIPTION QUANTITY UOM AMOUNT I I
(APPLICANT TEL NO I
ISAME AS OWNER 1AA BLDG PERMIT ISSUANCE 27 80 I I
I JAB STATE GREEN BLDG FEE 1400 00 VAL 1 00 ISPFCIAL CONDITIONS I
I 1AC STRONG MOTION RESID 1400 00 VAL 0 50 1 I
IAX BUILDING REVIEW FEE 54 70 I I
ID2 PERMIT W/O EN HC 1400 00 VAL 82 20
ICONTRACTOR TEL NO I TOTAL FEES 166 20 1APPRtVALS DATE INSPECTOR SIGNATURE I
1 SAME AS OWNER I I_ I
I LIC NO iLOCATION AND SETBACKS I I I
1 1 ISOIL ENGINEER APPROVAL I I I
1ARCHITECT OR ENGINEER TEL NO i 1FOUNDATION/TRENCH FORMS I I I
LIC NO i 1SLAB/UNDER FLOOR 1 I 1
1 1 1RAISED FLOOR FRAMING 1 1 1
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMF I IUNDE11FLOOR INSULATION I I
I 3 001
IFLOOR SHEATHING I I I
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS 1 _
1 NO 21 i IROOFISHEATHING 1 I I
SCHOOL WITHIN HAZARDOUS
I I I
(AIR QUALITY 1000 FEET MATERIALS I 1SHEAI PANELS
I I I
NO NO NO 1 IFRAMF INSPECTION
I I I
1 1 1FIRE SPRINKLER HANGERS I I I
I I (INSULATION/WEATHER STRIPI I I
11NTERIOR LATH/DRYWALL I I I
I (EXTERIOR LATH I I I
1RATED FLOOR/CEIL ASSEM I I I
1 I IRATEU WALL ASSEMBLIES
I I IRATED HAFTS/OPENINGS
I I
I IT BAR CEILINGS I I I
1 1LOT D-AINAGE I I I
1 (REPORT ID DPR261 ROUTE TO BS0508
I I I I
COUNTi OF LOS ANGELES TEMPLE CITY p 0508 BUILDING PERMIT
LEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1105040003
PHONE (626) 285 0488 EXT
LEGAL ID NO OF CONST NEW BUILDING ADDRESS
ITR 15862 LT 28 SQ FT STORIES TYPE . r OCCUP GROUP 10228 NADINE ST
STRUCTURE 484 1 V B v 6,8 3 TEMP CA 917802727
ASSESSOR INFORMATION NUMBER GARAGE NEAREST CROSS STREET
8586 026 017 OTHER 149 1 V B U THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY Cl
TENANT liXIST BLDG USE USE Z JISSUED ON PROCESSED BY
EXIST OCC GRP 05/02/12 SR
OWNER TEL NO JBLDGS NOW ON LOT VALUATION IFINAL LUTE FINAL-By CODE
ILIANG KENNEY (626) 452 8282 1 79 760O�Z
10228 NADINE ST l
TEMP 917802727 FEES PAID IDESCRIPTZ OF WORK
l (l) ADD DINING ROOM & MASTER BATH (2) EXPAND EXISTING MASTER
FEE DESCRIPTION QUANTITY UOM AMOUNT IBEDROOM (3) ADD LAUNDRY ROOM STORAGE ROOM COVERED PATIO
APPLICANT TEL NO I IREMODEL KITCHEN AND EXISTING BATHROOM
JKWOK TERENCE (323) 697 2120 JB1 PLANCHECK W/ENERGY 73760 00 VAL 969 80 1
260 E GARVEY AVE JAA BLDG PERMIT ISSUANCE 27 80 ISPECIAL CONDITIONS
MONTEREY PARK 91755 JAB STATE GREEN BLDG FEE 79760 00 VAL 4 00
JAC STRONG MOTION RESID 79760 00 VAL 8 00
_JB2 PERMIT W/ENERGY 79760 00 VAL 1 207 70
CONTRACTOR TEL NO 108 CERTIF OF OCCUPANCY 101 40 JAPPROVALS DATE INSPECTOR SIGNATURE
PAN CHAO HUI (626) 960 8826 1 TOTAL FEES 2 318 70 J_ Ap
2237 MAC DEVITT ST LIC NO I ILOCATION AND SETBACKS
WEST COVINA CA 93790 745705 B * I_
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER TEL NO JFOU`4DATION/TRENCH FORMS
JKWOK TERENCE (323) 697 2120 1 1
260 E GARVEY AVE LIC NC SLAB/UNDER FLOOR
MONTEREY PARK CA 91755 C24796 I_
RAISED FLOOR FRAMING
MAP NO SEWER MAP BOOK PAGE FIRE ZONE CNP JUNDERFLOOR INSULATION
3 001
11RT LEVEL FLOOR SHEATH
IND OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I_
0 NO 21 12ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS IROOF SHEATHING
AIR QUALITY 1000 FEET MATERIALS
NO NO NO IFIRE DEPT FRAME INSPEC
BLDG DEPT FRAME INSPECT
SHEAR PANELS
INSULATION/WEATHER STRIPI
i
INTERIOR LATH/DRYWALL
EXTERIOR LATH
LOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
J* ADDITIONAL DATA ON FILE
REPORT ID DPR261 ROUTE TO BS0508
COJN"Y OF LAS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
SiEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1211130070
PHONE (626) 285 0488 EXT
LEGAL ID I NO OF CONST I BUILDING ADDRESS 1
ITR 15862 LT 28 I SQ FT STORIES TYPE 1 10228 NADINE ST 1
I ISTRUCTURE V B I TEMP CA 917802727
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET 1
18586 026 017 I I THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY Cl
ITENANT (EXIST BLDG USE REBID USE ZONE R1 (ISSUED ON PROCESSED BY I
(EXIST OCC GRP 111/13/12 SR I
10WNER TEL NO IBLDGS NOW ON LAT VALUATION IFINAL DATE FIW BY CODE I
1LIANG KENNEY (626) 452 8282 1 700 1 �0 f
10228 NADINE ST
ITEMP 917802727 1 FEES PAID IDD SCRIPTI N OF WORK 1
I I ION THE MASTER BEDROOM ADD A 2H X 4W WINDOW IN THE MIDDLE OF I
IFEE DESCRIPTION QUANTITY UOM AMOUNT ITHE WALL FACING EAST 1
1APPLICANT TEL NO I I I
ISAME AS OWNER IAA BLDG PERMIT ISSUANCE 27 80 1 I
I IAB STATE GREEN BLDG FEE 700 00 VAL 1 00 ISPECIAL CONDITIONS
I IAC STRONG MOTION RESID 700 00 VAL 0 50 1 I
ID2 PERMIT W/O EN HC 700 00 VAL 43 70 1 I
I 1 TOTAL FEES 73 00 1 I
ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER I I I
I LIC NO I ILOCATION AND SETBACKS I I I
I I ISOILS ENGINEER APPROVAL I I I
(ARCHITECT OR ENGINEER TEL NO 1 IFOUNDATION/TRENCH FORMS I I I
I I I I I I
I LIC NO I (SLAB/UNDER FLOOR I I I
I I I I I I
I IRAISED FLOOR FRAMING I I I
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I (UNDERFLOOR INSULATION I I I
1147H273 3 001 1 I I I
I I IFLAOR SHEATHING I I I
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I I I I
I 0 NO 21 1 IROOF SHEATHING I I I
I I I I I I
SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I
(AIR QUALITY 1000 FEET MATERIALS I I I I I
1 NO NO NO I IFRAME INSPECTION I I
I I IFIRE SPRINKLER HANGERS I I
I I I I I I
I (INSULATION/WEATHER STRIPI I I
I I I I I I
I (INTERIOR LATH/DRYWALL I I I
I I 1EXTERIOR LATH
I I IRATED FLOOR/CEIL ASSEM I I
I I I I I I
I I IRATED WALL ASSEMBLIES
I I I I I I
I IRATED SHAFTS/OPENINGS I I I
I I I I I I
I I IT BAR CEILINGS I I I
I I I I I I
I ILAT DRAINAGE I I I
I I I I I I
IREPORT ID DPR261 ROUTE TO BS0508 I I I I
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1305060074
PHONE (626) 285 0488 EXT
ILEGAL ID I NO OF CONST BUILDING ADDRESS I
ITR 15862 LT 28 I SQ FT STORIES TYPE 1 10228 NADINE ST I
I ISTRUCTURE V B I TEMP CA 917802727 I
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET i
18586 026 017 I I THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY Cl
(TENANT (EXIST BLDG USE RESID USE ZONE R 1 (ISSUED ON PROCESSED BY I
(EXIST OCC GRP 105/06/13 SR
(OWNER TEL NO IBLDGS NOW ON IAT VALUATION IFINAL DATE FINAL BY CODE 1
ILIANG KENNEY (626) 452 8282 1 600 ;�,/�� I
110228 NADINE ST 1 i'/ p /Z7 1
ITEMP 917802727 1 FEES PAID IDESCRIPTIOIT OF WORK
1 I IWINDOW ENLARGE FROM 2 X 4 INTO 2 X 6 AT DINING ROOM
I IFEE DESCRIPTION QUANTITY DOM AMOUNT 1 I
(APPLICANT TEL NO I I I
IRAN CHAO (626) 373 4217 IAA BLDG PERMIT ISSUANCE 27 80 1 I
12237 MCDEVITT ST IAB STATE GREEN BLDG FEE 600 00 VAL 1 00 (SPECIAL CONDITIONS I
IWEST COVINA CA 91790 IAC STRONG MOTION RESID 600 00 VAL 0 50 I
I ID1 PLANCHECK W/O EN HC 600 00 VAL 82 10 1 I
I ID2 PERMIT W/O EN HC 600 00 VAL 43 70 1 I
ICONTRACTOR TEL NO 1 TOTAL FEES 155 10 1APPROVALS DATE INSPECTOR SIGNATURE
ICHAO PAN (626) 960 8826 1 1 I
12237 MACDEVITT ST LIC NO 1 ILOCATION AND SETBACKS I I I
IWEST COVINA CA 91790 745705 * 1 1 I I I
I I ISOILS ENGINEER APPROVAL I I I
(ARCHITECT OR ENGINEER TEL NO 1 IFOUNDATION/TRENCH FORMS I I I
I LIC NO 1 ISLAB/UNDER FLOOR I I
I I IRAISED FLOOR FRAMING 1 I
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I (UNDERFLOOR INSULATION I I I
1 3 001 I I I I
I IFLOOR SHEATHING I I I
]NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I I I I
1 NO 21 1 IROOF SHEATHING I I I
1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I
1AIR QUALITY 1000 FEET MATERIALS 1 I I I
1 NO NO NO 1 IFRAME INSPECTION 1 I
I I IFIRE SPRINKLER HANGERS FI
I I (INSULATION/WEATHER STRIPI I I
I I (INTERIOR LATH/DRYWALL I I I
I I (EXTERIOR LATH 11 I 1
I I IRATED FLOOR/CEIL ASSEM I I
I I IRATED WALL ASSEMBLIES I I I
I I IRATED SHAFTS/OPENINGS I I I
IT BAR CEILINGS I I I
I I* ADDITIONAL DATA ON FILE I I I I
I I ILOT DRAINAGE
I IREPORT ID DPR261 ROUTE TO BS0508 I I I I
I I I I I I